Organization Active NPI

Performance Therapeutics - del Rio PLLC

  • Rehabilitation Clinic/Center
  • Del Rio, TX
National Provider Identifier
1720508591
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PERFORMANCE THERAPEUTICS - DEL RIO PLLC
Practice address
612 N Bedell Ave Ste D
Del Rio, TX 78840-4173
Phone
(830) 776-5191
Fax
(830) 776-5205
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward R Canales
Title
Coo
Phone
(956) 687-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X TX Primary

Addresses

Primary practice location

612 N Bedell Ave Ste D
Del Rio, TX 78840-4173

Mailing address

500 Lindberg Ave
McAllen, TX 78501-2924
Phone (956) 687-4555

National Provider Directory

National Provider Directory
Tax ID family
Performance Therapeutics - del Rio PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1720508591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012924",
            "telephone_number": "956-687-4555",
            "fax_number": "956-687-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N BEDELL AVE STE D",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404173",
            "telephone_number": "830-776-5191",
            "fax_number": "830-776-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPEUTICS - DEL RIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "956-687-4559"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.